Thanks Badge and Thanks Badge II Nomination Form

**Please note that all nominations are due by 5:00 p.m. on February 9, 2017.

The Thanks Badge and Thanks Badge II honor an individual whose ongoing commitment, leadership, and service have had an exceptional, measurable impact on meeting the mission-delivery goals and priorities of the entire council or the entire Girl Scout Movement.

For which of these awards is the nominee being recognized?

Thanks BadgeThanks Badge II

Is a previous recipient of the Thanks Badge?
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YesNo

Year Received:
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Has the candidate continued to provide additional service that has impacted the entire council or the entire Girl Scout Movement?
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Provided outstanding service that has had an exceptional, measurable impact on meeting national or council-wide mission-delivery goals and priorities of branding, funding, membership or program/outcomes.

1

2

Service is so significantly above and beyond the call of duty that no other award would be appropriate.

1

2

Service given impacted the entire council of the entire Girl Scout Movement.

1

2

Please describe how this candidate has shown ongoing commitment, leadership and service.
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What makes this candidate's service outstanding and so significantly above and beyond the call of duty?
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How did this candidate's service result in outcomes that benefited the total council or the entire Girl Scout organization?
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Which of the four mission-delivery goals of the council did the candidate's actions best support? Please select all that apply.
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BrandingFundingMembershipProgram/Outcomes

How did the candidate support the goals selected? Please provide measurable results of the candidate's support (i.e., increased membership by a specific amount, increased program participation by a specific amount).
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Please attach the following supporting documentation to indicate how the nominee meets the criteria for this award: